| Summit Family Chiropractic | |
|
2634 N Government Way, Coeur D Alene, ID 83815-3750 | |
| (208) 771-4474 | |
| (208) 664-1001 |
| Full Name | Summit Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2634 N Government Way, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295012623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA1447 (Idaho) | Primary |
| Provider Name | Ryan J Sousley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144507575 PECOS PAC ID: 8921268582 Enrollment ID: I20130912000773 |
| Provider Name | Tanner Joseph Klein |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134795453 PECOS PAC ID: 0143620583 Enrollment ID: I20210607002508 |
| Provider Name | Jonathan Jeffrey Olson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689273005 PECOS PAC ID: 9931501855 Enrollment ID: I20210714001429 |
| Provider Name | Sienna Olson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124617642 PECOS PAC ID: 8527472935 Enrollment ID: I20220113001630 |
| Provider Name | Andrew Jacob Boggess |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659138899 PECOS PAC ID: 1153768528 Enrollment ID: I20240320003238 |
| Provider Name | Zebadiah Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609646314 PECOS PAC ID: 7517300866 Enrollment ID: I20240419002356 |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Chiropractic 2634 N Government Way, Coeur D Alene, ID 83815-3750 Ph: (208) 771-4474 | Summit Family Chiropractic 2634 N Government Way, Coeur D Alene, ID 83815-3750 Ph: (208) 771-4474 |
Dr. Adam Kenneth Mills, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7600 N Mineral Dr Ste 450, Coeur D Alene, ID 83815 Phone: 208-457-4208 Fax: 208-457-4197 | |
Dr. Marlo Macai Vankeuren, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 850 W Ironwood Dr Ste 301, Coeur D Alene, ID 83814 Phone: 208-209-7222 | |
Advanced Health Center Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 206 W Ironwood Dr # 100, Coeur D Alene, ID 83814 Phone: 208-765-8061 Fax: 208-683-2823 | |
Dr. Christopher Aldon Boggess, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2634 N Government Way, Coeur D Alene, ID 83815 Phone: 208-664-1000 | |
Dr. James N Anderson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 296 W Sunset Ave, #15, Coeur D Alene, ID 83815 Phone: 208-667-3000 | |
Dr. Brittany Claire Correll, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1104 N 4th St Ste B, Coeur D Alene, ID 83814 Phone: 208-292-4873 Fax: 208-292-4875 | |
Jennifer Lorene Wells, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1705 N Government Way, Coeur D Alene, ID 83814 Phone: 208-704-5879 |